spenac

Hey doczilla and EMSdoc, did ya'll forward your responses to the writer that wrote the article? If so wonder if we will ever see another article based on these facts? Thank you both for your efforts.

This morning I was reading about the money the NFL draft players were getting and so far I found none that refused the money. HMMMM perhaps they have a point lets not do a job unless paid for it.

After reading this again I am actually mad. He has a holier than thou attitude. What a jerk. If he really wanted to help people he would have chosen something that helped lots of people rather than a limited few. Again if he does not want the money accept the check and go put it into a charity.

Today as I was bumming around watching the NFL draft I thought, hmmmm, will any of the guys selected today say no money for me I am just here because I love the sport. I could not find in the history of the NFL since the merger in the 60's where anybody played for free. Football is a game they should play for free, but they don't. EMS is about peoples lives and as such should be a serious profession not something to be given away. If you want to help people do like the football players and donate money to groups that help many people.

As a paramedic student I look forward to seeing those. Thanks.

I vote lazy and stupid. When they get sued and lose because of a sloppy reports I will laugh.

If a community can offer all those incentives they could more easily just pay the people. There is no excuse for remaining a volly service. It is time to start doing what is best for all and demand pay. Then you can donate your pay to needy charitys if you want to give something away. All of us will start seeing pay increase to a halfway liveable rate.

At my now primary job we run some P/B ambulances. The problem that comes up is the paramedic is stuck making all serious decisions by themselves. We also run some I/B and P/I. But the problem is always the highest level gets stuck making all weighty decisions. The goal is to get all ambulances staffed by at least 1 paramedic by end of the year. Then the push begins to get all ambulances staffed P/P.

Wendy during clinicals the ER used them for triage temp check. They are great as you mention when dealing with screaming healthy kid.

A stop light. 3 of the paid services I work with do not have a stop light. No matter how small there is money to pay for our services. No people in rural areas do not accept that they are further from advanced medical care. Based on my many years rural experience, they do not think about it till they have an emergency. The few thoughts they have had they quieted by saying if anything happens the ambulance will take care of me. I picked up a gentleman that had had at least 2 heart attacks before he moved to my area. When I, when still a basic, picked him up having another heart attack. Did basic vitals. I put him in the ambulance on O2, gave aspirin and nitro. He asked about why I did no 12 lead, no IV, no meds beside nitro, etc? This guy knew what an ALS ambulance would do to ensure he survived. I explained that with me as the highest level on the ambulance I could not do more than done. He became very anxious( a bad thing in his condition ) and said he thought all ambulances were the same. It was a long 2 hour ride for him and me to the hospital. It turned out to be his next to last ride. Perhaps that big difference from his previous ambulances was the deciding factor. After that call I decided whatever the costs if I was staying in EMS I was going to get my education, but thats another thread.

Every patient I see in my ambulance ride outs as a Paramedic student require me to write a full PCR on them and be signed by my preceptor as well. I thought all schools did that? Guess I learned something new today.

My brain.

Actually there are all sorts of levels of training. Key word training rather than education as to why. Some do get to go thru more education but most get the basic. I work with a several former military medics all of them have said to work beyond the EMT-B level in the "street" would be crazy. They understand their training was not geared to what we see. And even the trauma training they received is not all applicable to "street" medicine.

http://en.wikipedia.org/wiki/Davy_Crockett_(nuclear_device)

I nominate that as the stupidest comment of the current decade. Fine you want to volunteer. I disagree with that choice. But you say you want to help people why not accept a check and donate the money if you really don't want it. This helps many people. First the patients you treat. Then the many that benefit from the charity you support. If you made $1000 a month and donated it all you could feed more than 33 kids a month based on one charitys ads. Wow you could really put your money where your mouth is and prove you actually do what you do because you love to help people. Maybe this is what all volleys should do. At least then them giving away their paychecks would not affect my paycheck the way giving services away for free does.

At least if they get it away from you and use it on you you'll feel no pain.

Did I say anything rude? No I did not. The discussion referred to had many good points to assist any volly service in the transition to paid. Below is just one of many low volume services that various members presented as proof that any service can become paid. Paid will help in the recruitment of people. One station only has 17 calls per year and is paramedic staffed. -------------------------------------------------------------------------------- mobey wrote: I do not listen to people who tell me they can't afford a full paid service. My home town runs a full paid service with 2 units (only 1 paid full time, other is utilized if staff are around to run it), and they have ALS (unless he is on the first car) Anyway point is the company does 100 - 120 calls / year. That's right full time ALS supported by a mere 100 calls / year. If there is a will there is a way! EDIT to add this: I am about 95% sure on these numbers: Wages in said 100 call/year town: PCP (EMT) $19.70/hr $4.50 on call ACP (Paramedic) 26.19/hr $4.50 on call

Welcome to the chat I mean city.

Like that response 'zilla. You should forward that to the newspaper to present a truly educated and fact filled response to an obviously biased article.

RITCHIE VALENS-LA BAMBA

We have a whole town of those. I am actually shocked when we get a real patient.

Heres the solution you need. http://www.emtcity.com/phpBB2/viewtopic.php?t=9332

But in EMS what is the legal ramifications? Would you have to archive them? Would you have to document in your report that a recording had been made? If you did not make it known that you were recording would it be admissible? :dontknow:

We do not transport the body. We call the justice of peace and the funeral home. If we have no other calls we will wait with the family. Why are so many appalled about the body being in their home? It was not that many decades ago that the body would be viewed in the family home, sometimes layed on the the dining room table. Honestly I think people used to deal with death better because they saw the body, they had closure.

We tell many "patients" no we will not take you after we examine them. You are right many of these cry wolf patients actually end up with something real but care is delayed because its just so and so, no worrys. We have to fight that inclination and play like all calls are real until complete examination. We always check completely before saying no and if any doubts go ahead and transport.